# RECLAIM SELF COUNSELING, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1841819646
- **Authorized official:** MARTHA BURRER LPC (OWNER)
- **Authorized official phone:** (480) 720-2880

## Contact information

- **Practice address:** 2266 S DOBSON RD STE 200, MESA, AZ 85202-6412
- **Practice address phone:** (480) 720-2880
- **Practice address fax:** (480) 775-5199
- **Mailing address:** 3555 E MALLORY CIR, MESA, AZ 85213-1744
- **Mailing address phone:** (480) 720-2880
- **Mailing address fax:** (480) 775-5199

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | — | NULL | Yes |
| 101YM0800X | Mental Health Counselor | — | — | Yes |

## Other

- **Enumeration date:** 04/11/2020
- **Last updated:** 04/11/2020
